Neuromuscular Practice I W3 - Impairment Based Outcome Measures

during sensation testing for proximal to distal sensation, what is the minimum number of trials one should perform for each of these two areas?

5

3 multiple choice options

when testing this cranial nerve, you will have the patient raise their eyebrows, puff out their cheeks, smile, and puff out their cheeks. you will also resist closing the eyelids and look for facial asymmetries. which cranial nerve are you testing?

VII

3 multiple choice options

when performing the modified ashworth scale for assessing spasticity, what level has a catch, then has moderate to significant resistance through the remaining range of motion during the quick stretch only?

2

3 multiple choice options

which of the following tests best distinguishes whether an individual has a sensorineaural or conductive hearing loss?

Weber test

3 multiple choice options

what is going to prioritize the impairment tests that you will be performing in you physical therapy examination in the neurologic population?

chief complaint of the pt

3 multiple choice options

a 39 year old patient s/p stroke presents with difficulty moving their left arm, excessive co-constriction when attempting to move their arm, and is unable to isolate his wrist motions during coordination testing. which movement impairment is most likely present?

fractionated movement deficit

3 multiple choice options

a 59 year old who survived a stroke presents with impaired mobility of the left LE, and some issues with making choices. which of the following arteries was most likely compromised?

R ACA

3 multiple choice options

you are wanting to assess a patients risk for falls, sitting and standing balance, and ability to transfer from one seat to another. which of the following outcome measures is best to assess this?

berg balance scale

3 multiple choice options

your patient is in the ICU and survived a stroke. their NIHSS score is 22. what can be interpreted from this score?

the stroke is severe and the pt will require long term care

3 multiple choice options

your 59 year old patient has difficulty with transfers, bed mobility, and UE/LE limb movement. which outcome measure would be best to measure both ICF body/structure impairments and activity limitations?

stroke rehabilitation assessment of movement (STREAM)

3 multiple choice options

a patient repots distal tingling and numbness in bilateral hands and feet. which of the following methods of sensation testing is most likely going to be carried out for this patient?

compare proximal to distal aspects of sensation

3 multiple choice options

when testing for spasticity in your patient, you slow stretch w no resistance, then with quick stretch there is a catch where the muscle has a momentary increase in tone followed by passive movement without resistance. what is the grade using the modified ashworth scale?

1+

3 multiple choice options

in order to test the L4 dermatome, you should test sensation on:

medial malleolus

3 multiple choice options

proprioception is the ability to _____ while kinesthesia is the ability to _____

detect the body in space; detect movement in space

3 multiple choice options

T/F: when testing proprioception, you begin with the proximal segment first

false

1 multiple choice option

you place a pencil in your pts hand and ask them to identify it. they believe the item is a penny. what are you testing?

stereognosis

3 multiple choice options

you are treating a pt who has had a pontine stroke. what cranial nerve is likely affected?

7

3 multiple choice options

a pt presents to you with one eye directed towards their nose. which cranial nerve is affected?

CN VI

3 multiple choice options

which of the following is not a branch of the trigeminal nerve?

myelinary

3 multiple choice options

someone with cranial nerve VII palsy will have:

entire ipsilateral face droop

3 multiple choice options

while assessing for cranial nerve 9, you see the uvula deviate towards the right side. this is indicative of a:

abnormal response with the lesion on the left

3 multiple choice options

a marked increase in muscle tone throughout most of the range of motion, but affected part(s) are still easily moved indicates which score on the modified ashworth scale?

2

3 multiple choice options

in which direction does the tongue deviate when CN XII is affected?

towards the lesion

3 multiple choice options

T/F: in order to test elbow flexion spasticity, you must move the arm into elbow extension

true

1 multiple choice option

during the modified CTSIB, your pt has a difficult time performing balance w their eyes closed on a foam surface. based on this result, which of the following systems is weak?

vestibular

3 multiple choice options

performing rapid alternating movements of the hands on the thighs is called _____ and is appropriate for a pt with a _____ stroke

dysdiadochokinesia; cerebellar

3 multiple choice options